Individual
MRS. KAITLYN ELIZABETH DE SOUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
13 SLOCUM ST APT 1F, ACUSHNET, MA 02743-2781
(508) 685-1373
Mailing address
13 SLOCUM ST APT 1F, ACUSHNET, MA 02743-2781
(508) 685-1373
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN98814
MA
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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